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Arkansas rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.84 / $176.84 / $176.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.78 / $176.84 / $176.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.66 / $363.52 / $403.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.69 / $279.69 / $356.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.88 / $356.88 / $356.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $254.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $248.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $158.72 / $215.02